The Social Worker is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to self-determination. The individual in this position has overall responsibility for to assess the patient for transition needs including identifying and assessing patients at risk for readmission. Conducts complex psycho-social assessment and intervention to promote timely throughput, safe discharge and prevent avoidable readmissions. This position integrates national standards for case management scope of services including:

ï¿½ May delegate the implementation of the transition plan to LVN/LPN or Assistant staff. And follows up to ensure the transition plan is completed timely and accurately

ï¿½ Ensures all elements of the transition plan are implemented and communicated to the healthcare team, patient/family and post-acute providers

ï¿½ Provides information to patients to make informed choices when community services per Tenet policy

ï¿½ Completes Final Discharge Disposition Form Assessment for Medicare patients per Tenet policy

ï¿½ Completes timely, complete and accurate documentation in the Tenet Case Management system to communicating information to the care team and provide documents needed in the patient record(40% daily, essential)

Care Coordination

ï¿½ Screens patients for factors that may affect the progression of care and intervenes as needed to promote timely and appropriate throughput

ï¿½ Conducts assessments and stratifies patients at risk for readmission or in need of Case Management services

ï¿½ Assists with adoption/abuse/neglect cases and reporting of appropriate cases to local, state and/or federal agencies

ï¿½ Ensures the plan of care is consistent with patient choice and available resources

ï¿½ Ensures patient needs are communicated and that the healthcare team is mutually accountable to achieve the patient plan of care

ï¿½ Adheres to department structure and staffing, policies and procedures to comply with the CMS Conditions of Participation and Tenet policies

ï¿½ Operates within the Social Work scope of practice as defined by state licensing regulations(10% daily, essential)

Qualifications:Minimum Qualifications

1. Master's degree in Social Work from a college or university social work program approved by the Michigan Board of Social Work and accredited by the Council on Social Work Education.

2. Current license as a Licensed Master's Social Worker in the State of Michigan, or current limited license to engage in the practice of social work at the Master's level in the State of Michigan, with full licensure within 3 years from date of hire .

3. Two years of acute hospital experience preferred.

4. Must complete and demonstrate competency in using the Tenet Case Management documentation system within 30 days of hire.

Employment practices will not be influenced or affected by an applicantâ��s or employeeâ��s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship.

Internal Number: 1905031925

About DMC Children's Hospital of Michigan

“Tenet Healthcare Corporation is a diversified healthcare services company with 115,000 employees united around a common mission: to help people live happier, healthier lives. Through its subsidiaries, partnerships and joint ventures, including United Surgical Partners International, the Company operates general acute care and specialty hospitals, ambulatory surgery centers, urgent care centers and other outpatient facilities. Tenet's Conifer Health Solutions subsidiary provides technology-enabled performance improvement and health management solutions to hospitals, health systems, integrated delivery networks, physician groups, self-insured organizations and health plans.